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Table 1 Definition of indicators

From: Inadequate management of pneumonia among children in South Ethiopia: findings from descriptive study

Indicators Metric Definitions Measurement method/sources Categories measured
Supervision Numerator: Number of health facilities that received at least one visit of routine supervision (excluding the follow-up visits to health workers shortly after their training that are part of IMNCI training), which included the observation of case management during the previous three/six months
Denominator: Number of health facilities surveyed.
Proportion of facilities received at least one supervisory visit that included the observation of case management during the previous six months for IMNCI trained staffs, and three months for iCCM trained health extension workers Health workers questionnaire interview  
Essential oral treatment for pneumonia Numerator: Number of first-line oral treatments available the day of visit
Denominator: 2
Arithmetic mean of essential oral drugs recommended for the home treatment of pneumonia available at each facility the day of visit Direct observation
Stocks
• Amoxicillin syrup/suspension
• Cotrimoxazole syrup/suspension
Injectable drugs for pre-referral treatment of pneumonia Numerator: Number of injectable drugs for pre-referral treatment available the day of visit
Denominator: 4
Arithmetic mean of recommended injectable pre-referral treatment for children and young infants with severe classification needing immediate referral divided by four for IMNCI and divided by one for iCCM. Direct observation
Stocks
• Ampicillin
• Chloramphenicol
• Gentamycin*
• Benzylpeniciline
Equipment and supplies for vaccine Numerator: Number of health facilities that have the equipment and supplies to support full vaccination services on the day of survey
Denominator: Number of health facilities surveyed
Proportion of health facilities that have the equipment and supplies to provide full vaccination services on the day of survey Direct observation Vaccination room and stocks • Functioning refrigerator or cold chain
• Needles/syringes
Key vaccines Numerator: Number of the recommended vaccines available the day of visit
Denominator: 5
Arithmetic mean of recommended vaccines available at each facility the days of visits Direct observation Vaccination room and stocks • BCG
• Polio
• DPT-HepB-Hib
• PCV
• Measles
Trained IMNCI Numerator: Number of health facilities with at least 60% of health workers managing children who are trained in IMNCI
Denominator: Number of health facilities surveyed
Proportion of health facilities with at least 60% of health workers managing children trained in IMNCI Head of facility questionnaire interview  
iCCM trained health extension workers (HEW) density Numerator: Number of HEWs who are trained and deployed (to serve in a specific target area)
Denominator: Number of children under five in target communities ÷ 1000
Number of CHWs trained and deployed for iCCM per 1000 children under 5 years of age in target areas Head of facility questionnaire interview  
Correct case management for severe pneumonia (knowledge) Numerator: Number of health workers who respond to correct management for case scenario
Denominator: Number of health workers assessed
Proportion of health workers who gave correct response for the management of case scenario Application of case scenario to health workers  
All essential job aids and supplies for the management of pneumonia Numerator: Number of health facilities with all the needed equipment and materials
Denominator: Number of health facilities surveyed
The proportion of health facilities that have all the needed equipment and materials available on the day of the survey. Direct observation of outpatient department • Respiratory timer
• Thermometer
• Syringe and needles
• IMNCI/iCCM chart booklet
• Mother’s counselling cards
Supervisory visits received   Mean (and range) of the number of supervisory visits received for IMNCI in the last six months and for iCCM in the last three months Health worker questionnaire interview  
Facility open   Mean (and range) for: days per week the facility is open Health worker questionnaire interview  
Child services   Mean (and range) for: days per week child health services are provided Health worker questionnaire interview  
Vaccination services   Mean (and range) for: days per week vaccination services are available Health worker questionnaire interview  
Time travel to nearest referral facility   Mean (and range) of the time required to get to the nearest referral facility Health worker questionnaire interview  
Case load   Median (and range) of the number of sick child visits during the previous month Record review  
IMNCI trained Numerator: the total number of staff managing children trained in IMNCI
Denominator: the total number of staff assigned to the case management of children.
The proportion of staff trained in IMNCI actually present and managing children the day of visit Head of facility questionnaire interview  
  1. * for iCCM at Health post mean and range was computed based on only Gentamycin
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